Department of Psychoanalysis and Psychotherapy, Medical University Vienna, A-1090 Vienna, Austria.
Postgraduate Unit, Medical University Vienna, A-1090 Vienna, Austria.
Int J Environ Res Public Health. 2023 Sep 11;20(18):6739. doi: 10.3390/ijerph20186739.
The effectiveness of psychotherapeutic care, as well as the implementation of adequate improvements, are in question. A qualitative interview study was carried out in a cyclical research design with a comparative analysis on the basis of thematic coding using Grounded Theory Methodology. An overview of the design, sampling procedure, and data analysis is given. A variety of critical perspectives emerged concerning the state of psychotherapeutic care in Austria. Two perspectives are presented in this paper as interim results: a health care administration perspective states a general lack of knowledge and a possible unmet need, problematizes the underutilized benefit of psychotherapists and describes a shift in regard to the issue of effectiveness of care to the topic of access to psychotherapeutic care and to a problem with the care and work ethics of professionals. In this perspective, one solution may be to implement intermediary organizations, clearinghouses with multi-professional teams, comprehensive documentation and an indication-oriented approach. The health insurance perspective also claims the organization-specific action problem and the lack of rules for clearing in such intermediary organizations, as well as the relevance of regulated, limited access to psychotherapy.
心理治疗护理的效果以及适当改进的实施都存在问题。本研究采用循环研究设计，使用扎根理论方法进行比较分析，进行了定性访谈研究。本文介绍了设计、抽样程序和数据分析的概述。研究中出现了对奥地利心理治疗护理状况的各种批评观点。本文呈现了两个观点作为中期结果：卫生保健管理视角指出了普遍缺乏知识和可能未满足的需求，对精神治疗师未充分利用的效益提出质疑，并将护理效果问题转向获得心理治疗护理的问题以及专业人员的护理和工作道德问题。在这种观点下，一种解决方案可能是实施中介组织、具有多专业团队的信息交换所、全面的文件记录和以指示为导向的方法。健康保险视角还声称存在组织特定的行动问题以及此类中介组织中清除规则的缺乏，以及监管、有限制地获得心理治疗的相关性。
